Jose Mathew, is a medicare enrolled "Social Worker - Clinical" provider in Colorado Springs, Colorado. He graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Diversus Health Inc and his current practice location is
1795 Jet Wing Dr, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 572-6100.
Jose Mathew is licensed to practice in Colorado (license number CSW.09925839) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447690474.
Healthcare Provider's Profile
| Full Name | Jose Mathew |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 1795 Jet Wing Dr, Colorado Springs, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jose Mathew graduated from medical school in 2015
NPI Data:
- NPI Number: 1447690474
- Provider Enumeration Date: 07/05/2013
- Last Update Date: 02/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921348871
- Enrollment ID: I20190313000441
Medical Identifiers
Medical identifiers for Jose Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447690474 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0001671 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09925839 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Diversus Health Inc | 7719879204 | 45 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jose Mathew allows following entities to bill medicare on his behalf.
| Entity Name | Diversus Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043260243
PECOS PAC ID: 7719879204
Enrollment ID: O20040329000837 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jose Mathew is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jose Mathew,
220 Ruskin Dr,
Colorado Springs, CO 80910-2522
Ph: () - | Jose Mathew,
1795 Jet Wing Dr,
Colorado Springs, CO 80916-2332
Ph: (719) 572-6100 |
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